RENTAL APPLICATION / APLICACION DE RENTA

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1 RENTAL APPLICATION / APLICACION DE RENTA Every occupant over the age of 18 MUST fill out a separate application (even if married.) Please review your application before submitting it for processing. Please check to make sure we have complete information and phone numbers so we may expedite your application faster. Incomplete applications will delay processing. There is a $20 application fee for every occupant over the age of 18. Toda persona de mas de 18 años de edad DEVERA llenar una aplicación (aun cuando estén casados) Por favor revise su aplicación antes de entregarla para ser procesada y asegúrese que ha llenado por completo todos los requerimientos apropiados y dado números de teléfonos, de esta forma nosotros podremos procesar su aplicación más rápido. Aplicaciones incompletas detendrá el procedimiento de renta. La aplicacion cuesta $20 por persona mayor de 18 años. Primary Contact / Aplicante Principal Secondary Contact / Aplicante Secundario PERSONAL INFORMATION / INFORMACION PERSONAL Firtst (Primer mbre) Middle (Segundo) Last (Apellido) S.S # (# de Seguro Social o I.T.I.N) Alias or Nicknames (Apodos) Date of Birth (Fecha de Nacimiento) / / Marital Status Single Married Divorsed (Estado Civil) (Soltero) (Casado) (Divorciado) DL # (Licencia de conducir) Estado Phone # (# Telefono) Cell/Celular Home/Casa RENT INFORMATION / INFORMACION DE RENTA Phone # (# Telefono) Cell/Celular Home/Casa (Correo Electronico) Present Address (Direccion Actual) City//Zip (Ciudad/Estado/Codigo Postal) Length of Time (Tiempo viviendo en este lugar) Reason for Leaving (Razon por la que deja el lugar donde vive) Present landlord (mbre del propietario) Rent/Month (Cuanto paga de renta al mes) Landlord Ph # (# de Telefono) * If you've lived at current address for over 12 months, you don't need to fill out past landlord information. Skip to Employment section. * Si usted a vivido en su actual domicilio por 12 meces o mas, usted no tiene que llenar la información siguente. Valla a la parte que se llama Verificación de Empleo. Rent (Renta) Own (Dueño) Previous Home Address (Domicilio Anterior) City//Zip (Ciudad/Estado/Codigo Postal) Length of Time (Tiempo viviendo en este lugar) Present landlord (mbre del propietario) Landlord Ph # (# de Telefono) Reason for Leaving (Razon por la que deja el lugar donde vive) Rent/Month (Cuanto paga de renta al mes) Rent (Renta) Own (Dueño) EMPLOYMENT VERIFICATION / VERIFICACION DE EMPLEO Current Employer (Donde trabaja actualmente) Supervisor (Supervisor) (Ocupacion) Ph # (# de telefono) Hrs/Wk (Hrs por semana) Yrs Employed (Años Empleado) What is your employement status: Full Time Part Time Student Unemployed (Cual es su estatus de trabajo) Tiempo Completo Medio Tiempo Estudiante Desempleado (a) INCOME / SALARIO Current Income $ (Cuanto es su salario) $ Weekly Biweekly Monthly ly Semana Quincena Mensual Año Current Income $ (Cuanto es su salario) $ Weekly Biweekly Monthly ly Semana Quincena Mensual Año Proof of income: Last 2 check stubs Bank statements W-2 Comprovantes de salario: Ultimos 2 talones de cheque Cuenta de banco W-2 Proof of income: Last 2 check stubs Bank statements W-2 Comprovantes de salario: Ultimos 2 talones de cheque Cuenta de banco W-2

2 PROPOSED OCCUPANTS / OCUPANTES APPLICANT QUESTIONNAIRE / CUESTIONARIO Have you ever broken a rental lease? Ha usted quebrado un contrato de renta? Do you or anyone living with you smoke? Uste o alguna persona que viva con usted fuma? Have you ever been evicted from a rental residence? Lo han desalojado de su vivienda alguna vez? Have you ever been taken to court by another landlord? ha sido llevado al corte por el propietario de donde vive? Alguna vez Have you ever filed bankruptcy? Alguna vez sea a declarado bancarota? Have you ever been convicted of a felony? Alguna vez a sido condenado por alguna felonia? Do you have a checking/savings account? Tiene una cuenta de cheques o ahorros bancarios? Do you have the first months rent & deposit amount available to pay now? Tiene el primer mes de renta y deposito disponible para pagar? If you answered "yes" to any of the above questions regarding previous leases/landlords or convictions, please explain each one below. a una de las preguntas que tiene que ver con contratos o manejadores anteriores o con una conviccion, por favor explique cada uno abajo. Si contesto "si' EMERGENCY CONTACT / CONTACTO DE EMERGENCIA Please provide us with the name, address and phone number of an emergency contact. Por favor denos el nombre, direccion y numero de telefono de de un familiar o amigo como contacto de emergencia. Address (Direccion) (Relacion) City//Zip (Ciudad/Estado/Codigo postal) Language (Idioma) Phone (Telefono) PROPOSED PETS / MASCOTAS Type / Breed (Tipo / Raza) Indoor (Interiro) Outdoor (Exterior) / Wt (Edad / Peso) Type / Breed (Tipo / Raza) Indoor (Interiro) Outdoor (Exterior) / Wt (Edad / Peso) VEHICLE(S) INFORMATION / INFORMACION SOBRE SUS VEHICULOS

3 AGENCY REPRESENTATION DISCLOSURE / REPRESENTACION DE LA AGENCIA ncy Representation Disclosure: Arkansas law requires real estate agents to disclose to all parties in a real estate lease or rental transaction which party(ies) he/she is representing. Real estate agents typically represent Landlords or Owners of real estate but can also represent Tenants or Renters, as well as both. MC3 Multifamily represents the Property Owner in this transaction. You will be asked to sign this application, which confirms that the Mi Casa Real Estate agent or representative disclosed to you before you signed any document related to the transaction whom he/she is representing in the real estate lease/rental transacti Landlord or Owner Representation A real estate agent who enters into a management agreement to manage property for a Landlord or Owner is known as the Lanlord's nt or Owner's nt. A Landlord's or Owner's nt represents the Landlord or Owner in the lease or rental transaction. That means that the Landlord's or Owner's nt may assist the Tenant or Renter who is not represented in leasing or renting the Property or deal with an agent for the Tenant or Renter, but the Landlord's or Owner's nt's primary duty is to promote the interest of the Landlord or Owner. As a Tenant or Retner not represented by a Landlord or Ownernt, you should keep any information that may place you at a disadvantage in negotiations confidential and undisclosed to the Landlord or Owner (Landlord's or Owner's nt) since the Landlord's or Owner's nt has a duty to pass that information on to the Landlord or Owner. Confidential information may include the Tenant's or Renter's real estate needs or motivations, negotiating strategies or tactics, or financial situation. I hereby apply to lease the property located at unit # beginning on at a monthly rent of $ and security deposit of $ Anticipated move in date of I agree to permit an investigation of my credit, tenant history,employment, criminal backgound and any other screening for the purposes of renting this property. If I supplied a valid , I agree that it may be used as an official form of communication regarding the status and/or outcome of my application. Applican't Signature Date

4 VERIFICATION OF EMPLOYMENT APPLICANT AUTHORIZATION The individual signed below has submitted a rental application to MC3 Multifamily. Please provide the information requested and fax this form back to our office at (479) You can also it to us at applications@mc3multifamily.com. Thank you for your consideration and prompt reply, as it will avoid any delays. Print applicant s name Applicant s signature Date EMPLOYER S VERIFICATION Is the applicant currently employed? Yes *If you answered no, there is no need to answer the remaining questions. Please fax the form back. Length of employment: 0-6 months 6-12 months months 24 months or longer Is the employee eligible for a raise in the next 6 months? Yes If the employee is eligible for a raise, how much will it be and when will it take effect? Additional comments: Completed by: Title: Signature: Date: MC3 Multifamily is a division of Specialized Real Estate Group

5 VERIFICATION OF RENT APPLICANT AUTHORIZATION The individual(s) signed below submitted a rental application to MC3 Multifamily. Please provide the information requested and fax this form back to our office at (479) You can also it to us at applications@mc3multifamily.com. Thank you for your prompt response. of Applicant(s) I hereby authorize release of the information requested below for my rental address at: Street City Zip Applicant's signature Applicant's signature Date LANDLORD S VERIFICATION Dates of residency: through Has lease expired? Yes Amount of rent: $ Number of late payments or NSF s: ne or more Did late payments occur within the last twelve months? Yes Has tenant complied with all community policies? Yes Does tenant keep an animal on the premises? Yes Has the animal at any time caused a problem or been a nuisance? Yes Is tenant eligible for re-rental? Yes & Title Signature Date MC3 Multifamily is a division of Specialized Real Estate Group

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